Provider Demographics
NPI:1780324830
Name:FIRST CHOICE ORTHOTICS PROSTHETICS AND DME
Entity type:Organization
Organization Name:FIRST CHOICE ORTHOTICS PROSTHETICS AND DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAR
Authorized Official - Middle Name:MARCELL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-282-8323
Mailing Address - Street 1:2351 STONEBRIDGE DR BLDG G
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5407
Mailing Address - Country:US
Mailing Address - Phone:810-820-8926
Mailing Address - Fax:810-820-8940
Practice Address - Street 1:2351 STONEBRIDGE DR BLDG G
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5407
Practice Address - Country:US
Practice Address - Phone:810-282-8323
Practice Address - Fax:810-820-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier